| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $16,392.56 | $16,392.56 | $16,392.56 |
Other Ear Nose Mouth Throat O R Procedures W Cc Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $16,392.56 | $16,392.56 | $16,392.56 |